Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Ikeda-Chandler

Individual provider Registered Nurse · NPI 1063193274

Michael Ikeda-Chandler is a Certified Registered Nurse Anesthetist (CRNA) in Everett, Washington. Qualified in 2023, 3 years ago. Practices with Providence Wa Anesthesia Services, PC, a 85-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1700 13th St
Everett, WA 98201-1689
Phone: (252) 612-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP61485496 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 60717548 (WA)

Record details

NPI number1063193274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESSeptember 17, 2023
Certification dateSeptember 17, 2023
Mailing address13000 Admiralty Way Apt K202, Everett, WA 98204-6274

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Providence Wa Anesthesia Services, Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Everett